Patient Registration and Medical History forms - Download this form if you are a new patient with My East Cobb Dentist, PC so that you can fill it out before you come in. Established patients are required to fill out an updated Patient Registration and Medical History form every two years.

Records transfer to My East Cobb Dentist, PC Form - Download this form if you are a new patient and want your previous dentist to send copies of your old records to My East Cobb Dentist, PC.

Record Transfer to a New Dentist From My East Cobb Dentist Form - Download this form if you are a previous patient and you would like the staff at My East Cobb Dentist, PC to send copies of your dental records to your new dentist.

Financial forms

Agreement to Pay Dental Charges - Download this form if you wish to pay with a credit card at My East Cobb Dentist, PC.

Third Party Payment Authorization - Download this form if you wish to pay with a credit card for someone else's dental treatment at My East Cobb Dentist, PC.

Monthly Credit Card Agreement - Download this form if you wish to make a monthly credit card prepayment (lay-a-way) towards future dental care at My East Cobb Dentist, PC.